摘要
目的:比较经皮椎体成形术(PVP)与经皮椎体后凸成形术(PKP)治疗胸腰椎压缩性骨折患者的效果。方法:选取88例胸腰椎压缩性骨折患者为研究对象,根据随机数字表法分为观察组和对照组,每组44例。对照组予PKP治疗,观察组予PVP治疗,比较两组手术情况,术前、术后1周、术后6个月Cobb’s角、椎体前缘高度、视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)、活动能力及骨水泥渗漏发生率。结果:观察组手术时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后1周,术后6个月,观察组Cobb’s角大于对照组,椎体前缘高度低于对照组,差异有统计学意义(P<0.05)。两组术后1周、术后6个月VAS、ODI和活动能力评分均较术前降低,差异有统计学意义(P<0.05),但两组术前、术后1周、术后6个月VAS、ODI和活动能力评分比较,差异均无统计学意义(P>0.05)。观察组骨水泥渗漏发生率高于对照组,差异有统计学意义(P<0.05)。结论:PVP与PKP治疗胸腰椎压缩性骨折患者均有效,PVP手术时间较短,术后恢复快;PKP恢复Cobb’s角、椎体高度效果更好,骨水泥渗漏发生率更低。
Objective:To compare effects of percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP)in treatment of thoracolumbar vertebral compression fractures.Methods:88 patients with thoracolumbar vertebral compression fractures were selected as the research objects,and were divided into observation group and control group according to different treatment methods,44 cases in each group.The control group was treated with PKP,while the observation group was treated with PVP.Then,the surgical conditions,Cobb’s angles,anterior vertebral height,visual analogue scale(VAS)score,Oswestry dysfunction index(ODI),activity ability and incidence of bone cement leakage were compared between the two groups before and 1 week,6 months after the surgery.Results:The operation time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).1 week and 6 months after the surgery,the Cobb's angle of the observation group was greater than that of the control group,the anterior vertebral height was lower than that of the control group,and the differences were statistically significant(P<0.05).1 week and 6 months after the surgery,the VAS,ODI and activity ability scores of the two groups were lower than those before the surgery,and the differences were statistically significant(P<0.05);however,there were no statistical differences in the VAS,ODI and activity ability scores between the two groups before and 1 week,6 months after the surgery(P>0.05).Further,the incidence of bone cement leakage in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Both PVP and PKP are effective in the treatment of thoracolumbar vertebral compression fractures.PVP can shorten the operation time and accelerate the postoperative recovery,while PKP has a better effect on restoring the Cobb's angle and vertebral body height with lower incidence of bone cement leakage.
作者
郭珀宏
刘日新
刘万新
李春晓
GUO Pohong;LIU Rixin;LIU Wanxin;LI Chunxiao(Department of Orthopedics of Chen Xinghai Hospital,Zhongshan 528415 Guangdong,China)
出处
《中国民康医学》
2020年第8期24-26,共3页
Medical Journal of Chinese People’s Health
关键词
经皮椎体成形术
胸腰椎压缩性骨折
腰椎功能
Percutaneous vertebroplasty
Thoracolumbar vertebral compression fracture
Lumbar function
